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Nonsteroidal Anti-inflammatory Drug (NSAID)-induced Ascending Colonic Ulcer Whose Progress was able to be Observed, Report of a Case Satoshi Saito 1 , Tsuyoshi Abe 1 , Kenji Kondo 1 , Tsutomu Hamada 2 , Keiji Okuda 3 , Yasushi Tanaka 3 , Kiyohito Unuma 3 , Shigehiro Kitamura 4 , Tokiko Yamaguchi 5 1Department of Internal Medicine, Social Insurance Chuo General Hospital, Tokyo 2Department of Internal Medicine, Tobu Chiiki Hospital, Tokyo 3Department of Radiology, Social Insurance Chuo General Hospital, Tokyo 4Department of Pathology, Social Insurance Chuo General Hospital, Tokyo 5Marigold Clinic, Tokyo Keyword: NSAID , 大腸潰瘍 pp.1791-1796
Published Date 2007/11/25
DOI https://doi.org/10.11477/mf.1403101232
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 The patient was a 50-year-old woman. She took diclofenac sodium for ten years. In addition, she developed ulcerative colitis (left side type) in 2003. She visited a Clinic, complaining of hematochezia and fever. Exacerbation of ulcerative colitis by diclofenac sodium was suspected and the diclofenac treatment was tarminated before she was introduced to this hospital. At the time of her hospitalization, her symptom was showing signs of improvement. The barium enema picture showed stenosis with an apple core appearance in the ascending colon. The endoscopic picture showed a circular ulcer in the ascending colon. A biopsy specimen didn't show any specific inflammation. The barium enema and the endoscopic picture after the 50th day showed a circular ulcer scar in the ascending colon. It was suspected that our observations show the progress of a NSAID ulcer.


Copyright © 2007, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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